The effect of sublaminar wires on the rib hump deformity during scoliosis correction manoeuvres

2016 ◽  
Vol 26 (7) ◽  
pp. 771-777 ◽  
Author(s):  
Javier Pizones ◽  
Felisa Sánchez-Mariscal ◽  
Lorenzo Zúñiga ◽  
Enrique Izquierdo
Keyword(s):  
Rib Hump ◽  
Scoliosis Correction

scholarly journals Intraoperative Computed Tomography versus Perdriolle and Scoliometer Evaluation of Spine Rotation in Adolescent Idiopathic Scoliosis

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Rafal Pankowski ◽  
Szymon Wałejko ◽  
Marek Rocławski ◽  
Marcin Ceynowa ◽  
Tomasz Mazurek
Keyword(s):  
Computed Tomography ◽  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Scoliosis Surgery ◽  
Significant Discrepancy ◽  
Indirect Methods ◽  
Rib Hump ◽  
Intraoperative Computed Tomography ◽  
Scoliosis Correction ◽  
Before And After

Numerous indirect methods for apical vertebral rotation (AVR) measurement have been reported and none of them seems to be as accurate as computed tomography evaluation. The aim of this study was to compare spinal rotation changes during innovative technique of intraoperative computed tomography (ICT) evaluation with indirect methods such as Perdriolle and clinical evaluation with scoliometer. We examined 42 adolescent idiopathic scoliosis (AIS) patients treated with posterior scoliosis surgery (PSS). The mean age at the time of surgery was 16 years. ICT evaluation was performed before and after scoliosis correction in prone position. Clinical rib hump measure with scoliometer and radiographic Perdriolle were performed before and after surgery. There was 71,5% of average rib hump correction with scoliometer but only 31% of correction with ICT (P=0,026) and there was no significant correlation between them (R=0,297,p=0,26). Mean postcorrectional Perdriolle AVR had a decrease of 16,5°. The average ICT AVR had a decrease of only 1,2° (P=0,003). There was no significant statistic correlation between ICT and Perdriolle AVR evaluation (R=0,297,p=0,2). There is a significant discrepancy in AVR and rib hump assessment between scoliometer and Perdriolle methods and ICT evaluation, which seems to be the most accurate tool for spinal derotation measurement.

Anesthetic considerations for a novel anterior surgical approach to pediatric scoliosis correction

2017 ◽  
Vol 27 (10) ◽  
pp. 1028-1036
Author(s):  
Jonathan S. Gal ◽  
Christopher J. Curatolo ◽  
Jeron Zerillo ◽  
Bryan Hill ◽  
Baron Lonner ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Scoliosis Correction ◽  
Anesthetic Considerations

scholarly journals Progressive Scoliosis and Syringomyelia - Questions of Surgical Approach

Folia Medica ◽  
2018 ◽  
Vol 60 (2) ◽  
pp. 261-269 ◽  
Author(s):  
Mikhail Mikhaylovskiy ◽  
Vyacheslav Stupak ◽  
Vadim Belozerov ◽  
Nikolay Fomichev ◽  
Anatoliy Lutsik ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Surgical Correction ◽  
Neurological Deficits ◽  
Spinal Deformities ◽  
Loss Of Correction ◽  
Scoliotic Deformity ◽  
Scoliosis Correction ◽  
The Moment ◽  
Comparison Of The Results

Abstract Background: The rate of scoliosis in syringomyelia patients ranges from 25 to 74.4%. In turn, syringomyelia occurs in 1.2% to 9.7% of scoliosis patients. Aim: To evaluate outcomes of surgical correction of the scoliotic deformity in syringomyelia patients. Materials and methods: Between 1996 and 2015, 3120 patients with scoliosis of various etiologies were treated at the Clinic for Child and Adolescent Vertebrology of the Novosibirsk Research Institute of Traumatology and Orthopedics. We conducted a retrospective analysis of syringomyelia-associated scoliosis cases that required surgical correction. Results: Syringomyelia was found in 33 patients (1.05%) out of 3120 patients with spinal deformities of various etiologies; in 21 patients (0.9%) with idiopathic scoliosis of 2334 patients. In identifying the neurological deficit, the recommended first step is to perform neurosurgery. Nineteen patients were operated using the CDI, 4 patients underwent correction VEPTR, in 1 case instrumentation could not be established, 9 patients are undergoing treatment in the department of neurosurgery at the moment. Worsening of neurological deficits was not observed in any patient. Conclusion: A comparison of the results of syringomyelia-associated scoliosis correction with the data of other authors was done. The choice of surgery tactics is strictly individual and depends on the size of the cavity. The result of surgical intervention is generally positive and the loss of correction by the end of follow-up is negligible.

scholarly journals Optimization of skeletal configuration: Studies of scoliosis correction biomechanics

1991 ◽  
Vol 24 (8) ◽  
pp. 721-732 ◽  
Author(s):  
George T. Wynarsky ◽  
Albert B. Schultz
Keyword(s):  
Scoliosis Correction

scholarly journals Treatment of mature/maturing AIS patients (Sanders ≥ 5) using a novel anterior scoliosis correction (ASC) Technique

2021 ◽  
Vol 1 ◽  
pp. 100165
Author(s):  
Christopher Antonacci ◽  
M. Darryl Antonacci ◽  
William P. Bassett ◽  
Laury A. Cuddihy ◽  
Allison R. Haas ◽  
...  
Keyword(s):  
Scoliosis Correction

scholarly journals Retrospective Analysis on Intraoperative Neuromonitoring (IOM) of Potential Nerve Injury in Scoliosis Correction Surgery

2021 ◽  
Vol 53 (1) ◽  
Author(s):  
Omat Rachmat ◽  
◽  
Dohar AL Tobing ◽  
Rr. Nur Fauziyah ◽  
Jenifer Kiem Aviani ◽  
...  
Keyword(s):  
Spinal Injury ◽  
Rare Complication ◽  
Intraoperative Neuromonitoring ◽  
Neurological Deficits ◽  
Neurological Injury ◽  
Central Hospital ◽  
Chi Square ◽  
Post Surgery ◽  
Scoliosis Correction ◽  
Correction Surgery

Iatrogenic spinal injury resulting in paraplegia or paraparesis after surgical correction of scoliosis deformity is a rare complication but is very detrimental to the patient. Intraoperative Neuromonitoring (IOM) has become the gold standard to monitor surgical procedures which has potential risks to damage the spinal cord. This study aimed to retrospectively analyze the role of IOM in predicting the severity and extent of neurological injury during and after spinal correction surgery in adult idiopathic scoliosis cases related to surgical variables. This was a retrospective cohort study conducted at Dr. Cipto Mangunkusumo National Central Hospital, Fatmawati Central Hospital, and dr. Drajat Prawiranegara General Hospital during the period of 20 March 2018 to 20 August 2019. The primary outcomes were intraoperative monitoring status and post-operative neurological deficits status. Confounder data on scoliosis correction degree, intraoperative hemorrhage, and type of anesthesia used during surgery were retrieved. Chi-Square statistic was used in the analysis. Out of the ninety three patients eligible for this study, twenty two patients was detected as positive in IOM assessment. Four of the patients were found to be positive for post-operative neuromuscular defect. Thereby it can be concluded that IOM procedure can effectively prevent neurological deficits post-surgery with 81.8% specificity and 95.7% sensitivity among thosepositively detected by IOM. Some of the factors that could potentially influence false positive IOM results such as anesthetic used; dosage and administration procedures; magnitude of the scoliosis correction angle; and amount of bleeding during surgery have to be carefully analyzed.

scholarly journals Subdural hemorrhage after scoliosis correction surgery - A case report -

2009 ◽  
Vol 56 (1) ◽  
pp. 116
Author(s):  
Seung-gyu Jeon ◽  
Byung Hoon Yoo ◽  
Yun-Hee Lim ◽  
Sangseok Lee ◽  
Ki Hyuk Hong
Keyword(s):  
Case Report ◽  
Subdural Hemorrhage ◽  
Scoliosis Correction ◽  
Correction Surgery
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